Sarah Mac Farlane, BACP

Sarah Mac Farlane is a counsellor who helps people facing stress, anxiety, depression and major life changes. She works with people dealing with grief, trauma and self-esteem issues. Sarah also supports those coping with parenting strain, caregiving pressures and challenges linked to ageing and geriatric issues.

Sarah trained and practises using a mix of approaches rather than one fixed method. She draws on Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Dialectical Behavior Therapy alongside client-centred and attachment-based ideas. This means sessions focus on practical steps, values-based choices and clearer patterns in relationships.

Her work is grounded in listening first and helping people name what matters to them. Sarah uses exercises and simple tools in session that people can try between meetings. She pays attention to how past experiences shape current reactions and looks for small changes that make day-to-day life easier.

With nine years of professional experience, Sarah brings a steady, plainspoken style to conversations. She encourages realistic goals and checks in regularly about progress. The approach aims to be collaborative and paced according to each person’s needs.

Sarah is registered with the British Association for Counselling and Psychotherapy, BACP, and works with clients in the United Kingdom. Sessions are carried out in English and international clients are accepted.

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy, or ACT, focuses on helping people clarify what matters to them and take small actions that match those values. It can help with anxiety, low mood and coping with life changes. Cognitive Behavioral Therapy, CBT, involves spotting unhelpful thoughts and testing new ways of thinking and behaving to reduce distress in daily life. It is often used for anxiety, phobias and depression. Attachment-Based Therapy looks at how early relationships influence current patterns and helps people change repeating cycles in relationships and self-image.

Choosing the right approach usually happens together. The therapist will talk about what feels most useful and adapt methods to the person's goals and preferences. That collaborative process means approaches can be mixed and adjusted as progress is reviewed.

If you are considering online sessions, confirm the available session formats before booking. Online work can make it easier to fit therapy into a busy week, reduce travel time and allow shorter check-ins when schedules demand it. It also lets people join from different locations if they live abroad, though practical details such as time zones and technology should be arranged in advance. Registered or accredited professionals can explain how an approach will be used in remote sessions and which practical format will suit your needs.